| NPI | 1538427323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 081141) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 269899) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 081141) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2024-08-23 |